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在膀胱扩大术合并膀胱颈关闭的病例中处理来自杨-蒙蒂通道的顽固性尿失禁——挑战与改良手术技术

Managing intractable incontinence from a Yang-Monti channel in a case of enterocystoplasty with bladder neck closure - Challenges and a modified surgical technique.

作者信息

Padyala Murali Krishna, Kalra Sidhartha, Dorairajan Lalgudi Narayanan

机构信息

Department of Urology and Renal Transplantation, JIPMER, Puducherry, India.

出版信息

Indian J Urol. 2021 Apr-Jun;37(2):180-182. doi: 10.4103/iju.IJU_375_20. Epub 2021 Apr 1.

DOI:10.4103/iju.IJU_375_20
PMID:34103804
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8173940/
Abstract

Incontinence in the Mitrofanoff principle varies between 2% and 40% and is a challenging problem to treat. Incontinence is even more when a Yang-Monti channel is used with simultaneous enterocystoplasty, probably due to ineffective submucosal tunneling owing to the inferior quality of bowel mucosa. Here, we report the management options of such problems along with a novel surgical technique.

摘要

米氏原理中的尿失禁发生率在2%至40%之间,是一个难以治疗的挑战性问题。当使用杨-蒙蒂通道并同时进行肠膀胱扩大术时,尿失禁情况更为严重,这可能是由于肠黏膜质量较差导致黏膜下隧道形成无效所致。在此,我们报告此类问题的处理方法以及一种新的手术技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a20/8173940/a94c310b4f30/IJU-37-180-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a20/8173940/e50992eb56d0/IJU-37-180-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a20/8173940/a94c310b4f30/IJU-37-180-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a20/8173940/e50992eb56d0/IJU-37-180-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a20/8173940/a94c310b4f30/IJU-37-180-g002.jpg

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1
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本文引用的文献

1
Long-term complications of continent catheterizable channels: a problem for transitional urologists.可控性膀胱造瘘通道的长期并发症:过渡性泌尿外科医生面临的一个问题。
Transl Androl Urol. 2018 Aug;7(4):558-566. doi: 10.21037/tau.2018.03.26.
2
Use of a Modified Continent Ileovesicostomy in Adults with Prior Enterocystoplasty.改良可控性回肠膀胱术在既往已行肠膀胱扩大术的成人中的应用。
Curr Urol. 2017 Nov;10(4):206-209. doi: 10.1159/000447185. Epub 2017 Oct 22.
3
Long-term efficacy of polydimethylsiloxane (Macroplastique) injection for Mitrofanoff leakage after continent urinary diversion surgery.
BJU Int. 2015 Mar;115(3):461-5. doi: 10.1111/bju.12817. Epub 2014 Oct 20.
4
Reconstructing the lower urinary tract: The Mitrofanoff principle.重建下尿路:米氏原理。
Indian J Urol. 2013 Oct;29(4):316-21. doi: 10.4103/0970-1591.120113.
5
The Mitrofanoff procedure: 20 years later.米氏手术:20年后
J Urol. 2001 Jun;165(6 Pt 2):2394-8. doi: 10.1016/S0022-5347(05)66213-1.